Individual provider Active NPI

Daniel Y Kim, M.D.

  • Ophthalmology Physician
  • Palisades Park, NJ
National Provider Identifier
1477500866
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25MA06500600 Issued in NJ
Practice address
540 Bergen Blvd
Palisades Park, NJ 07650-2322
Phone
(201) 461-3970
Fax
(201) 242-9061
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1940951 NY
Ophthalmology Physician 207W00000X 25MA06500600 NJ Primary

Addresses

Primary practice location

540 Bergen Blvd
Palisades Park, NJ 07650-2322

Mailing address

540 Bergen Blvd
Palisades Park, NJ 07650-2322
Phone (201) 461-3970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041001000149 NJ Practitioner - Ophthalmology 5092602029 Reassigns benefits to 1 organization
I20070223000113 NY Practitioner - Ophthalmology 5092602029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Kim MD Total Eye Care PCGroup PAC ID 3870480890, 5 clinicians
Daniel Y Kim MD PAGroup PAC ID 8628047545, 5 clinicians

Practice addresses (Care Compare)

13633 37TH Ave
Suite 4C
Flushing, NY 11354-4562
Phone (718) 661-3800

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 661-3800

540 Bergen Blvd
Palisades Park, NJ 07650-2322
Phone (201) 461-3970

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
91
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06500600NJMDOphthalmology Physician
1940951NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel Kim, M.D., Total Eye Care, P.C. CurrentSince Feb 19, 2003 Accepting new patients
Daniel Y. Kim, M.D., P.a. Ophthalmology CurrentSince Feb 14, 1997 Accepting new patients
Saint Mary'S Ambulatory Surgery PastSince May 31, 2004 Accepting new patients

Locations

540 Bergen Blvd
Palisades Pk, NJ 07650
Phone (201) 461-3970

540 Bergen Blvd
Ste B
Palisades Pk, NJ 07650
Phone (201) 461-3970

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

13633 37th Ave
Ste 4C
Flushing, NY 11354
Phone (718) 661-3800

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1477500866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502322",
            "telephone_number": "201-461-3970",
            "fax_number": "201-242-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 BERGEN BLVD",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076502322",
            "telephone_number": "201-461-3970",
            "fax_number": "201-242-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DANIEL",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "1940951",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA06500600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

Verify at the official NPI Registry.